| C. Brady, Pc | |
|
2211 Norfolk St Suite 500 Houston TX 77098-4048 | |
| (713) 526-6085 | |
| (713) 522-7315 |
| Full Name | C. Brady, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2211 Norfolk St, Houston, Texas |
| Authorized Official Name and Position | Charles Patrick Brady (PRESIDENT) |
| Authorized Official Contact | 7135266085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Brady, Pc 2211 Norfolk St Suite 500 Houston TX 77098-4048 Ph: (713) 526-6085 | C. Brady, Pc 2211 Norfolk St Suite 500 Houston TX 77098-4048 Ph: (713) 526-6085 |
| NPI Number | 1114024585 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022025865 |
|---|---|
| Medicare Enrollment ID | O20060320000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114024585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 21380 (Texas) | Primary |
| Provider Name | Charles Patrick Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215034632 PECOS PAC ID: 4486661238 Enrollment ID: I20060321000395 |
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